Indian journal of anaesthesia
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Hypotension during propofol induction is a common problem. Perfusion index (PI), an indicator of systemic vascular resistance, is said to be predictive of hypotension following subarachnoid block. We hypothesised that PI can predict hypotension following propofol induction and a cut-off value beyond which hypotension is more common can be determined. ⋯ Perfusion index could predict hypotension following propofol induction, especially before endotracheal intubation, and had a very high negative predictive value.
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The external jugular vein (EJV), often used for resuscitation, has been underutilised for central venous catheterisation (CVC) in view of an unpredictable success rate. There is an encouraging literature on the improved success rate of CVC through EJV with the inclusion of certain body manoeuvres. This prospective randomised controlled study was conducted with the aim of evaluating the efficacy of body manoeuvres in improving the success rate of CVC through EJV. ⋯ Inclusion of various body manoeuvres to Seldinger technique significantly improves the success rate of CVC through EJV.